During the acute phase of burn treatment, important goals of client care include: Select all that apply
1. Cleansing the wound.
2. Preventing loss of body heat through the wounds.
3. Providing for client comfort.
4. Preventing infection.
5. Providing adequate nutrition for healing to occur.
6. Splinting, positioning, and exercising affected joints.
1. Cleansing the wound.
2. Preventing loss of body heat through the wounds.
3. Providing for client comfort.
4. Preventing infection.
5. Providing adequate nutrition for healing to occur.
6. Splinting, positioning, and exercising affected joints.
Rationale: Cleansing the wound. The goals of treatment for the acute period include wound cleansing and healing. Preventing loss of body heat through the wounds. The goals of treatment for the acute period include preserving body heat. Providing for client comfort. The goals of treatment for the acute period include pain relief. Preventing infection. The goals of treatment for the acute period include preventing infection. Providing adequate nutrition for healing to occur. The goals of treatment for the acute period include promoting nutrition. Splinting, positioning, and exercising affected joints. The goals of treatment for the acute period include splinting, positioning, and exercising affected joints.
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A client diagnosed with bipolar disorder says, "I don't understand why I go back and forth between being manic and being sad and depressed." Which explanations should the nurse offer?
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. "When you are getting too many chemicals in your brain, you have manic spells." 2. "When you don't take your drug, you get sick." 3. "The chemicals in your brain get all mixed up." 4. "When you do not get enough of certain chemicals in your brain, you feel depressed." 5. "When you can't control your mania, you use up so much energy that you crash and become depressed."
Which does the nurse explain during client teaching about tracheostomy tube (TT) care?
1. Clean the TT to maintain a clear airway. 2. Deflate the cuff of TT for thorough cleaning. 3. Use hydrogen peroxide for peristomal care. 4. Apply a nasal cannula for inner cannula care.
The client has been ordered treatment with Denavir. The client should be instructed to apply the cream every:
a. 8 hours around the clock. b. 2 hours during the day. c. 4 hours around the clock. d. 6 hours during the day.
A false high blood pressure reading may be obtained if the nurse:
A. Deflates the cuff too slowly B. Has the client's arm above the heart level C. Holds the stethoscope too firmly over the antecubital fossa D. Repeats the blood pressure assessments too quickly